Clinic Customer Satisfaction Survey

We care about kids!

Nationwide Children’s Hospital Hematology/Oncology Clinic is dedicated to providing quality health care to children. Your opinion of our services and suggestions for improvement are important to our ongoing efforts to make things better for our patients.

Thank you for taking a few moments to complete this survey.

Customer Satisfaction Survey

Which clinic did you visit?

Please rate the following:

Very Good (5) :: Good (4) :: Fair (3) :: Poor (2) :: Very Poor (1)

Information and Instructions staff provided about caring for your child at home.

How well you were kept informed about delays.

Your child’s visit was completed in a timely manner.

Staff concerns for your questions and worries regarding your child’s care.

Overall satisfaction with your visit.

The time that you waited after checking in at the reception desk until you were shown to your exam room:

The time that you waited after being shown to your exam room until you saw your child’s health care provider:

The time that you waited to receive a medication/infusion in the infusion room:

Who is filling out this survey?

Comments: What can we do to better your visit?

Name (optional)

Phone (optional)

Please select yes if you would like to have someone contact you. Yes No

My visit was made special by

Why my visit was special

NICU Parent Booklet

The Heart Center

Send a Greeting Card

Coronavirus (COVID-19): Information for Patient Families

Customer Satisfaction Survey